Defensive patterns in reflective group supervisions at Child Health Centres

2019 ◽  
Vol 40 (4) ◽  
pp. 588-599 ◽  
Author(s):  
Björn Salomonsson
Keyword(s):  
Child Health ◽  
Health Centres ◽  
Reflective Group

No effects of pilot performance-based intervention implementation and withdrawal on the coverage of maternal and child health services in the Koulikoro region, Mali: an interrupted time series analysis

2020 ◽  
Vol 35 (4) ◽  
pp. 379-387
Author(s):  
David Zombré ◽  
Manuela De Allegri ◽  
Valéry Ridde
Keyword(s):  
Time Series ◽  
Child Health ◽  
Health Service ◽  
Maternal And Child Health ◽  
Interrupted Time Series ◽  
Child Health Services ◽  
Child Health Service ◽  
Health Centres ◽  
The Impact ◽  
And Child Health

Abstract Performance-based financing (PBF) has been promoted and increasingly implemented across low- and middle-income countries to increase the utilization and quality of primary health care. However, the evidence of the impact of PBF is mixed and varies substantially across settings. Thus, further rigorous investigation is needed to be able to draw broader conclusions about the effects of this health financing reform. We examined the effects of the implementation and subsequent withdrawal of the PBF pilot programme in the Koulikoro region of Mali on a range of relevant maternal and child health indicators targeted by the programme. We relied on a control interrupted time series design to examine the trend in maternal and child health service utilization rates prior to the PBF intervention, during its implementation and after its withdrawal in 26 intervention health centres. The results for these 26 intervention centres were compared with those for 95 control health centres, with an observation window that covered 27 quarters. Using a mixed-effects negative binomial model combined with a linear spline regression model and covariates adjustment, we found that neither the introduction nor the withdrawal of the pilot PBF programme bore a significant impact in the trend of maternal and child health service use indicators in the Koulikoro region of Mali. The absence of significant effects in the health facilities could be explained by the context, by the weaknesses in the intervention design and by the causal hypothesis and implementation. Further inquiry is required in order to provide policymakers and practitioners with vital information about the lack of effects detected by our quantitative analysis.

HEALTH CENTRES AND A CHILD-HEALTH SERVICE

The Lancet ◽  
1946 ◽  
Vol 247 (6392) ◽  
pp. 293-295
Author(s):  
HelenM.M. Mackay
Keyword(s):  
Child Health ◽  
Health Service ◽  
Child Health Service ◽  
Health Centres

What makes parents act and react? Parental views and considerations relating to ‘child health’ during infancy

2017 ◽  
Vol 21 (4) ◽  
pp. 415-423 ◽  
Author(s):  
Gerd Almqvist-Tangen ◽  
Susann Arvidsson ◽  
Bernt Alm ◽  
Stefan Bergman ◽  
Josefine Roswall ◽  
...  
Keyword(s):  
Content Analysis ◽  
Data Analysis ◽  
Child Health ◽  
Analysis Approach ◽  
Health Message ◽  
Parental Views ◽  
Manifest Content ◽  
Health Centres ◽  
Food And Feeding ◽  
The Subject

Lifestyle factors and behaviours are adopted very early in life and tend to persist throughout life. Considering that the parents are the primary gatekeepers for their child’s health, there is a need to gain more knowledge and deeper understanding about what causes parents to act and react in order for early preventive efforts to have any effect. The aim was to explore the parental views and considerations concerning ‘child health’ among parents with infants 8–10 months old. The sample was strategic and 16 parents (aged 23–41) were recruited from three child health centres in Sweden. Open-ended interviews were conducted and a qualitative, manifest content analysis approach was utilized. The parents described the subject ‘child health’ as a large, multifaceted concept. Three categories emerged during data analysis: developing a sixth sense, being affected by perceptions and believing health and ill health as a continuum. The parents perceived food and feeding issues as one of the most worrying aspects and a significant indicator of ‘child health’. In order to meet the parents on their turf, the ‘healthy health message’ conveyed needs to take the parental perspective into consideration rather than attempting to educate the parents from predetermined assumption, belief and values.

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